QI STARS/HEDIS Administrative Support I
 Spectraforce Technologies | |
 United States, Florida, Jacksonville | |
 Dec 27, 2024 | |
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Job Title: QI STARS/HEDIS Administrative Support I Duration: 3 Months Location: Remote - Florida JOB SUMMARY The QI STARS Administrative support is responsible for providing responsive customer service as the communicator between the patients and the provider. This role provides clerical support to Physicians and Mid-Level Providers and assists with office procedures. Job Requirements: * Perform clerical functions to include; medical record request, faxing and calls to members and providers as needed. * Maintain organized, updated reporting of activities with clear documentation. * Complete claim research to identify the service performed, dates of service, provider type, and place of service. Research may include multiple systems and reports. * Provide support to assess and analyze available information from internal and external data, and other sources as needed. * Strong computer skills to include Microsoft Office products (Word, Excel, PowerPoint and Outlook) and Internet research skills. * Strong administrative skills to include: member and provider calls, faxing, ability to request records, communicate clearly, documentation. * Experience in or working knowledge of Quality Improvement Initiatives, HEDIS, Medicare STARS and Quality Rating Systems. * Deep understanding of health insurance industry, health care systems, and provider issues. * Advanced understanding of medical terminology, abbreviations, body systems/anatomy, physiology and concepts of disease processes. Required Work Experience 0-2 years of related work experience or equivalent combination of transferable experience and education Required Education High school diploma or GEDPosition is offered by a no fee agency. | |